1.
A nurse is caring for a client who is receiving mannitol. Which of the following interventions should the nurse provide for the client?
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Elevate the head of the bed to 30 degrees and keep the client’s head at a neutral position.
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Place the client in a supine position with the head turned to the right side.
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Elevate the head of the bed 90 degrees and keep the client’s head at a neutral position.
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Place the client in a supine position with the head turned to the left side.
2.
A nurse is preparing to administer valproic acid 300 mg orally twice daily. Available is valproic acid 250 mg/5 mL. How many milliliters should the nurse administer per dose? Round to the nearest whole number.
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4 mL
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5 mL
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6 mL
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7 mL
3.
A nurse is teaching a female client diagnosed with migraine headaches about a new prescription for sumatriptan. Which of the following instructions should the nurse include?
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Take this medication every day to prevent migraine headaches.
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Use contraception while taking this medication.
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Take the drug every 30 minutes until the migraine headache subsides.
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Monitor blood pressure every 2 hours while taking this medication.
4.
A nurse is assessing a client who is receiving valproic acid. What therapeutic response does the nurse expect to see from valproic acid?
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Decreased seizure activity
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Reduced intracranial hypertension
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Improved migraine headache
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Decreased intracranial pressure
5.
A nurse is preparing to administer phenytoin 70 mg bolus to a client with a seizure disorder. The drug is supplied as a 50 mg/mL vial. How many milliliters should the nurse administer? Round to the nearest tenth.
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1.25 mL
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1.4 mL
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1.55 mL
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1.6 mL
6.
A client is prescribed ethosuximide for seizures. Which of the following adverse effects should the nurse monitor the client for?
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Increased energy
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Constipation
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Sleeplessness
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Rash
7.
Which of the following statements is true about migraine headaches?
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A two-course therapy approach of preventive and prophylactic therapies is required for migraine headaches.
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Clinical manifestations of migraine headaches can last several hours up to several days.
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Migraine headaches do not affect a client’s quality of life or ability to perform activities of daily living.
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Migraine headaches are triggered by a calm, quiet, and dark environment.
8.
A nurse is monitoring increased intracranial pressure on a client. Which of the following findings would represent an abnormal intracranial pressure for an adult client in a vertical position?
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5 mm Hg
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8 mm Hg
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14 mm Hg
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20 mm Hg
9.
The nurse is providing instruction to a client with newly diagnosed intracranial hypertension with increased intracranial pressure. On which of the following drugs should the nurse provide client education?
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Acetazolamide
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Lorazepam
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Phenytoin
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Lasmiditan
10.
Which of the following drugs is commonly prescribed to treat seizures and can cause behavioral and psychotic adverse effects?
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Carbamazepine
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Rimegepant
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Acetazolamide
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Levetiracetam